Clinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.

<h4>Background</h4>Little is known about the extent to which Peruvian physicians seek to involve patients in shared decision making, or about the variation in these efforts across different settings.<h4>Objective</h4>To measure the extent to which Peruvian clinicians involve...

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Autores principales:	Nicole Mongilardi, Víctor Montori, Alejandro Riveros, Antonio Bernabé-Ortiz, Javier Loza, Germán Málaga
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5b93cb597cf54a6fb833375a8cd370f5
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spelling	oai:doaj.org-article:5b93cb597cf54a6fb833375a8cd370f52021-11-18T07:54:53ZClinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.1932-620310.1371/journal.pone.0058085https://doaj.org/article/5b93cb597cf54a6fb833375a8cd370f52013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23472136/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Little is known about the extent to which Peruvian physicians seek to involve patients in shared decision making, or about the variation in these efforts across different settings.<h4>Objective</h4>To measure the extent to which Peruvian clinicians involve their patients in decision making and to explore the differences between clinicians' behavior in private vs. public practice.<h4>Design</h4>Videographic analysis.<h4>Participants and setting</h4>Seven academic physicians who provided care to patients in a public and a private setting participate in this study. All the encounters in both settings were filmed on one random day of February 2012.<h4>Approach</h4>Two raters, working independently and in duplicate used the 12-item OPTION scale to quantify the extent of physician effort to involve patients in shared decision making (with 0 indicating no effort and 100 maximum possible effort) in 58 video recordings of usual clinical encounters in private and public practice.<h4>Results</h4>The mean OPTION score was 14.3 (SD 7.0). Although the OPTION score in the private setting (mean 16.5, SD 7.3) was higher than in the public setting (mean 12.3 SD 6.1) this difference was not statistically significant (p = .09).<h4>Conclusion</h4>Peruvian academic physicians in this convenience sample barely sought to involve their patients in shared decision making. Additional studies are required to confirm these results which suggest that patient-centered care remains an unfulfilled promise and a source of inequity within and across the private and the public sectors in Peru.Nicole MongilardiVíctor MontoriAlejandro RiverosAntonio Bernabé-OrtizJavier LozaGermán MálagaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 3, p e58085 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nicole Mongilardi Víctor Montori Alejandro Riveros Antonio Bernabé-Ortiz Javier Loza Germán Málaga Clinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.
description	<h4>Background</h4>Little is known about the extent to which Peruvian physicians seek to involve patients in shared decision making, or about the variation in these efforts across different settings.<h4>Objective</h4>To measure the extent to which Peruvian clinicians involve their patients in decision making and to explore the differences between clinicians' behavior in private vs. public practice.<h4>Design</h4>Videographic analysis.<h4>Participants and setting</h4>Seven academic physicians who provided care to patients in a public and a private setting participate in this study. All the encounters in both settings were filmed on one random day of February 2012.<h4>Approach</h4>Two raters, working independently and in duplicate used the 12-item OPTION scale to quantify the extent of physician effort to involve patients in shared decision making (with 0 indicating no effort and 100 maximum possible effort) in 58 video recordings of usual clinical encounters in private and public practice.<h4>Results</h4>The mean OPTION score was 14.3 (SD 7.0). Although the OPTION score in the private setting (mean 16.5, SD 7.3) was higher than in the public setting (mean 12.3 SD 6.1) this difference was not statistically significant (p = .09).<h4>Conclusion</h4>Peruvian academic physicians in this convenience sample barely sought to involve their patients in shared decision making. Additional studies are required to confirm these results which suggest that patient-centered care remains an unfulfilled promise and a source of inequity within and across the private and the public sectors in Peru.
format	article
author	Nicole Mongilardi Víctor Montori Alejandro Riveros Antonio Bernabé-Ortiz Javier Loza Germán Málaga
author_facet	Nicole Mongilardi Víctor Montori Alejandro Riveros Antonio Bernabé-Ortiz Javier Loza Germán Málaga
author_sort	Nicole Mongilardi
title	Clinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.
title_short	Clinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.
title_full	Clinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.
title_fullStr	Clinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.
title_full_unstemmed	Clinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.
title_sort	clinicians' involvement of patients in decision making. a video based comparison of their behavior in public vs. private practice.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/5b93cb597cf54a6fb833375a8cd370f5
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Clinicians' involvement of patients in decision making. A video based comparison of their behavior in public vs. private practice.

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